TABITHA LECLAIRE TATE

RALEIGH, NC
NPI1073076923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5011638)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NC  5011638)
363LF0000X Nurse Practitioner, Family
(Licence: FL  TPAN3027)
363LF0000X Nurse Practitioner, Family
(Licence: SC  29819)
Enumeration Date2019-04-08
Last Update Date2025-01-22
Business Address
TABITHA LECLAIRE TATE FNP
421 FAYETTEVILLE ST STE 1100
RALEIGH, NC 27601-3000
Phone number: 888-731-8994
Mailing Address
TABITHA LECLAIRE TATE FNP
2401 HUDLOW RD
FOREST CITY, NC 28043-7724
Phone number: 828-980-4420